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Individual

MARK RUBINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00428
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003885
BLUE CHIP
RI
01
30880-9
BLUE CROSS
RI
01
62-34029
UNITED BEHAVIORAL HEALTH
RI
05
MR30699
RI
Enumeration date
07/17/2006
Last updated
07/08/2007
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